How to distinguish between fungi and trichomonas

Many people are always unable to distinguish between fungi and trichomoniasis in their daily lives. In fact, the appearance of fungi and trichomoniasis mostly comes from bathing or swimming. The other is direct transmission, such as sexual contact. Even if these precautions are taken, these problems will still be infected. Because they cannot be distinguished well, it is easy to enter the wrong treatment area. How should we make a reasonable distinction?

Trichomonas or fungi can be transmitted through bathing, swimming, direct contact, and sexual contact is also a route of transmission. Patients with recurrent candidal vaginitis should exclude the possibility of diabetes. Diabetes, recent use of antibiotics and decreased resistance are also predisposing factors.

Vaginal itching is mainly caused by fungal or Trichomonas infection. The common clinical manifestations are vaginal itching and increased leucorrhea, but there are also differences between the two. The typical vaginal discharge of candidal vaginitis is thick and has a tofu-like appearance. To confirm the diagnosis, you need to go to the hospital for examination, and the discovery of fungal hyphae in microscopic examination of leucorrhea is the basis for the diagnosis. The leucorrhea of ​​Trichomonas vaginitis is milky and relatively thin. The detection of Trichomonas in the leucorrhea microscopy is the key to the diagnosis.

The treatment of both types of vaginitis needs to be carried out under the guidance of a doctor.

First of all, the patient should avoid sexual intercourse until cured, change underwear every day, and boil the underwear in boiling water for 10 minutes.

For the treatment of trichomoniasis vaginitis, you can choose to take metronidazole orally (both husband and wife can take it for 7 days) and use metronidazole suppositories in the vagina at the same time.

For candidal vaginitis, 2-4% soda water can be used to flush the vagina, followed by treatment with Daconazole suppositories or Canesten suppositories, and antifungal drugs such as itraconazole, ketoconazole or Diflucan can be added for treatment.

Expert comment: Vaginitis needs to be followed up after treatment because it may recur afterwards, especially candidal vaginitis. If it is not treated thoroughly or there are predisposing factors, it may recur. Therefore, after 2 weeks of treatment and after the next menstrual period is over, you should go to the hospital for examination again. If possible, the examination should be continued for 3 months. Of course, if it is inconvenient, you can also use vaginal suppositories to apply the medicine directly for a few days after each menstruation is over to prevent recurrence.